Name:

Invoice or confirmation number:

PO number (if applicable):

Date order was placed:

Item(s) ordered:

Address:

Telephone number:

E-mail address:

(Please note: Your e-mail address will be used only for purposes related to your request. Brookes does not share or sell e-mail addresses — see our privacy policy for details.)

I need to cancel:
my entire order
part of my order

If you answered "part of my order,"please list titles to be canceled here:

Reason for cancellation: